Organization
KING PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE S KING PHARM D. (PRESIDENT)
(606) 435-1067
Entity
Organization
Contact information
Practice address
900 MORTON BLVD, HAZARD, KY 41701-9476
(606) 435-1067
(606) 435-1073
Mailing address
900 MORTON BLVD, HAZARD, KY 41701-9476
(606) 435-1067
(606) 435-1073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
90012816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90012816
—
KY
Enumeration date
01/19/2007
Last updated
03/24/2011
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